cms_GA: 8303
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8303 | LUMBER CITY NURSING & REHABILITATION CENTER | 115404 | 93 HIGHWAY 19 | LUMBER CITY | GA | 31549 | 2012-02-23 | 282 | D | 0 | 1 | T14011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interviews and record review, it was determined that the facility failed to implement care plan interventions for one resident (#75) with a history of falls and skin tears in a total sample of 33 residents. Findings include: Resident #75 had a [DIAGNOSES REDACTED]. On the resident's 12/1/12 quarterly Minimum data set (MDS) assessment, nursing staff coded the resident as needing extensive assistance with transfers and dressing. The resident had history of falls. He/She had fallen twice in January 2012, February 2012 and December 2011; once in November 2011, and; eight times in October 2011. The resident had a history of [REDACTED]. The care plan initiated on 6/13/2011 had an intervention for staff to keep slip resistant footwear on the resident at all times when he/she was out of the bed. However, observations on 2/22/12 at 12:50 p.m. and 4:25 p.m. and on 2/23/12 at 11:30 a.m. revealed that the resident was not wearing slip resistant footwear. There was a handwritten intervention for staff to apply a bed/chair alarm on the resident. However, it was observed on 2/22/12 at 12:50 p.m. that staff had not attached the personal alarm to the resident. On 8/24/11, a handwritten intervention on the care plan noted that the resident's wheelchair was moved to his/her bedside. There was a 10/11/11 note that the resident's wheelchair brake had been repaired by maintenance. During observations on 2/22/12 at 4:25 p.m. and on 2/23/12 at 8:15 a.m., 10:45 a.m. and 11:30 a.m., the wheelchair was sitting next to the resident's bed but, staff had not locked the brake on the left side of the chair. The care plan since 6/13/11 addressed the resident's potential risk for getting skin tears and noted his/her history of having multiple skin tears to his/her upper extremities. There was an intervention since 10/17/11 for staff to monitor the resident and apply sleeves on both of his/her arms. However, the resident was observed on 2/20/12 at 1:55 p.m., and on 2/23/12 at 8:15 a.m. wearing short sleeve shirts. See F323 for additional information regarding resident #75. | 2016-03-01 |